摘要
目的 进一步认识急性胸部外伤的各种影像表现。方法 117例均有胸部平片 ,其中 97例多次复查 ,5 6例摄斜位片 ,2 9例行CT检查 ,MRI和钡剂灌肠各 1例。结果 胸廓骨骼骨折 92例 ,气胸和 (或 )血胸 5 6例 ,肺挫伤和湿肺 4 9例 ,肺血肿 11例 ,心包积血 2例 ,膈疝 1例 ,皮下及纵隔气肿 36例 ,合并上述两种以上复合性损伤共 96例 ,占 82 .1%。结论 急性胸部外伤多数是复合性损伤 ,病变形态多样 ,短期变化大 ,胸部X线复查和CT检查可明确病变的性质 ,避免漏诊与误诊 ,为临床治疗提供影像学依据。
Objective To know more about the radiology appearance of acute chest trauma.Methods 117 patients with acute chest trauma were reviewed in this article. All of them had X-ray plain films. Amount them, 97 cases had plain film more than one time; 56 had oblique position plain films; 29 had CT examination; one had MRI examination and one had barium enema.Results Amount 117 patients, 92 cases had chest wall fracture; 56 had pneumothorax or hemothorax; 49 had lung bruise and wet lung; 11 had lung hematoma; 2 had pericardium hematoma, one had diaphragmatic hernia; 36 had pneumomediastinum and pneumoderma. And 96 of them had more than one trauma above, which occupy 82.1%.Conclusion Most of chest trauma are multiple trauma with manifold shape and change very quickly. Reexamine with X-ray and CT is necessary for the patients with chest trauma. It will provide more available information for clinical diagnosis, and misdiagnosis or fail to diagnosis will be avoided. [
出处
《宁夏医学杂志》
CAS
2004年第7期427-429,共3页
Ningxia Medical Journal
